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Individual

LIN MARTISH FAMBRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAS-A

Contact information

Practice address
1455 E FRANKLIN BLVD, GASTONIA, NC 28054-4059
(980) 285-2990
(704) 842-3754
Mailing address
9930 SEASON GROVE LN APT 207, CHARLOTTE, NC 28216-6623
(980) 285-2990
(704) 842-3754

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/23/2025
Last updated
09/23/2025
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